Struggle, current situation and future perspective for European urology trainees. A vision from The European Society of Residents in Urology

Mantica, Guglielmo; Pang, Karl H.; Nikles, Sven; Uçar, Taha; Mattigk, Angelika; Karsza, David; Rivas, Juan Gómez; Carrión, D.M.; Esperto, Francesco

doi:10.1111/bju.15536

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Multiple studies have explored the role and impact of urological residents in different settings and activities: academic, clinical, surgical, and healthcare [14,15]. Furthermore, there are also numerous studies that have investigated the quality of life of the resident and their actual possibility of academic and surgical learning in certain settings and countries [16][17][18]. At the same time, the role of the patient has become even more fundamental, both as the object of treatment and training, and as a passive part of the training of new trainees itself [19].…”

Section: Discussionmentioning

confidence: 99%

Impact of Assistant Experience on Perioperative Outcomes of Simple and Radical Laparoscopic Nephrectomy: Does It Really Matter?

Ambrosini,

Mantica,

Marchi

et al. 2023

Medicina

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Background and Objectives: While systematic reviews highlight the advantages of laparoscopic nephrectomy over traditional open surgery, the impact of an assistant’s experience on surgical outcomes remains unclear. This study aims to evaluate whether the level of assistant expertise influences laparoscopic nephrectomy outcomes. Materials and Methods: Retrospective data from our institutional database were analyzed for patients who underwent laparoscopic nephrectomy between January 2018 and December 2022. Procedures were performed by a highly experienced surgeon, including postgraduate year (PGY)-3 to PGY-5 residents as assistants. Senior-level assistants had completed at least 10 procedures. Patient characteristics, surgical outcomes, and postoperative details were collected. Multivariable linear and logistic regression models were performed to test the effect of assistant experience (low vs. high) on estimated blood loss (EBL), length of stay (LOS), operative time (OT), and postoperative complications. Results: 105 patients were included, where 53% had highly experienced assistants and 47% had less experienced ones. Low assistant experience and higher BMI predicted longer operative time (OT), confirmed by multivariable regression (β = 40.5, confidence interval [CI] 18.7–62.3, p < 0.001). Assistant experience did not significantly affect EBL or LOS after adjusting for covariates (β = −14.2, CI −91.8–63.3, p = 0.7 and β = −0.83, CI −2.7–1.02, p = 0.4, respectively). There was no correlation between assistant experience and postoperative complications. Conclusions: Assistant experience does not significantly impact complications, EBL, and LOS in laparoscopic nephrectomy. Surgeries with less experienced assistants had longer OT, but the overall clinical impact seems limited. Trainee involvement remains safe, guided by experienced surgeons.

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Section: Discussionmentioning

confidence: 99%

Impact of Assistant Experience on Perioperative Outcomes of Simple and Radical Laparoscopic Nephrectomy: Does It Really Matter?

Ambrosini,

Mantica,

Marchi

et al. 2023

Medicina

Self Cite

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“…In that sense, ESU is making a considerable effort to renew learning processes and implement new technologies [19,20]. In addition, these new learning methodologies could be translated to undergraduate education for urology in Europe [21].…”

Section: Analysis Of the Impact Of The Covid-19 Pandemicmentioning

confidence: 99%

A new era and future of education: the impact of pandemic on online learning – a study from the European School of Urology

2023

Cent European J Urol.

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Standards in surgical training in advanced pelvic malignancy across Europe and beyond – A Snapshot analysis

Brandl

Lundon²,

Lorenzon

et al. 2022

European Journal of Surgical Oncology

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Struggle, current situation and future perspective for European urology trainees. A vision from The European Society of Residents in Urology

Cited by 4 publications

References 6 publications

Impact of Assistant Experience on Perioperative Outcomes of Simple and Radical Laparoscopic Nephrectomy: Does It Really Matter?

Impact of Assistant Experience on Perioperative Outcomes of Simple and Radical Laparoscopic Nephrectomy: Does It Really Matter?

A new era and future of education: the impact of pandemic on online learning – a study from the European School of Urology

Standards in surgical training in advanced pelvic malignancy across Europe and beyond – A Snapshot analysis

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